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Contenido proporcionado por Benefits Executive Roundtable. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Benefits Executive Roundtable o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
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S5E9 - Self-Insurance Legislative & Regulatory Hot Topics
Manage episode 382517777 series 2562989
Contenido proporcionado por Benefits Executive Roundtable. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Benefits Executive Roundtable o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
In this week’s episode, host Dorothy Cociu discusses the self-insurance industry hot topics with Ryan Work, VP of Government Relations and Chris Condeluci, Washington Counsel, for the Self-Insurance Institute of America. We discuss the current threat to ERISA pre-emption following recent Supreme Court rulings on PBM cases that could have adverse effects on self-funded health plans, as well as updates on the Transparency in Coverage, the wide variability and incompleteness of files and inability of plan sponsors and administrators to access their claims data. In addition, we discuss the Surprise Medical Billing and Federal Independent Dispute Resolution process and issues within the portal, the lack of Independent Dispute Resolution Entities to arbitrate the cases, and recent cases that strike at the heart of the NSA rules, the QPA. We also discuss the CAA Gag Clause Prohibition & Attestation and requirements of plan sponsors. Join us for this informative podcast!
#DorothyCociu #self-insurance #RyanWork #ChrisCondeluci #self-fundedhealthplans #Transparency #SurpriseMedicalBilling #Federal IndependentDisputeResolution #NSA #QPA #GagClause
98 episodios
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Manage episode 382517777 series 2562989
Contenido proporcionado por Benefits Executive Roundtable. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Benefits Executive Roundtable o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
In this week’s episode, host Dorothy Cociu discusses the self-insurance industry hot topics with Ryan Work, VP of Government Relations and Chris Condeluci, Washington Counsel, for the Self-Insurance Institute of America. We discuss the current threat to ERISA pre-emption following recent Supreme Court rulings on PBM cases that could have adverse effects on self-funded health plans, as well as updates on the Transparency in Coverage, the wide variability and incompleteness of files and inability of plan sponsors and administrators to access their claims data. In addition, we discuss the Surprise Medical Billing and Federal Independent Dispute Resolution process and issues within the portal, the lack of Independent Dispute Resolution Entities to arbitrate the cases, and recent cases that strike at the heart of the NSA rules, the QPA. We also discuss the CAA Gag Clause Prohibition & Attestation and requirements of plan sponsors. Join us for this informative podcast!
#DorothyCociu #self-insurance #RyanWork #ChrisCondeluci #self-fundedhealthplans #Transparency #SurpriseMedicalBilling #Federal IndependentDisputeResolution #NSA #QPA #GagClause
98 episodios
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Similar a Benefits Executive Roundtable
The Village Global podcast takes you inside the world of venture capital and technology, featuring enlightening interviews with entrepreneurs, investors and tech industry leaders. Learn more at www.villageglobal.vc.
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continue reading
Alessandro Bogliari, CEO and Co-Founder of The Influencer Marketing Factory, a global influencer marketing agency, talks with great guests about influencer marketing, social media, the creator economy, social commerce and much more.
…
continue reading
Wharton faculty and industry leaders discuss their latest research, books, and relevant business topics. Hosted on Acast. See acast.com/privacy for more information.
…
continue reading
Montgomery & Company (MoCo) is a weekly podcast and radio show hosted by two-time WNBA Champion and Co-Owner/Vice President of the Atlanta Dream, Renee Montgomery, in partnership with WABE Atlanta. Both insightful and compelling, MoCo features interviews with some of the world’s top athletes, entertainers, and innovators as well as roundtable discussions with Renee’s colleagues, friends, and family, about sports, culture and building generational wealth. Montgomery & Company: Sports, Cultu ...
…
continue reading
Bitcoin groundbreakers share personal stories of how Bitcoin is changing lives for the better. Host Mauricio Di Bartolomeo, co-founder and CSO of Ledn, speaks with leading Bitcoin voices, entrepreneurs, and human rights advocates to hear their unique journey and practical real-world examples of how Bitcoin has made a positive impact in their lives. Brought to you by Ledn, a leading financial services company built for Bitcoin & digital assets. Ledn offers a suite of lending, saving and tradi ...
…
continue reading
Join host and Harvard Business School Online Creative Director Chris Linnane as he sits down with HBS faculty to discuss business education in a way that’s both entertaining and insightful. The Parlor Room is your key to breaking down academic theory without sacrificing depth—all while gaining practical takeaways for navigating the business world.
…
continue reading
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continue reading
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